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Article ID	#17613
Title	Should chiropractors recommend provocative discography for diagnostic purposes in patients with chronic low back pain?
URL	http://dx.doi.org/doi:10.1016/j.clch.2004.12.002
Journal	Clin Chiropr. 2005 Mar;8(1):20-26
Author(s)	Gemmell H Miller P
Subject(s)	Intervertebral Disc / diagnostic imaging Intervertebral Disc / injuries Low Back Pain / diagnosis Lumbar Vertebrae / diagnostic imaging Review Literature as Topic Spinal Fusion
Peer Review	Yes
Publication Type	Article
Abstract/Notes	This paper presents a narrative literature review of provocative discography in chronic low back pain. The literature concerning accuracy and utility, complications, alternatives and use of provocative discography as a determinant for fusion surgery was reviewed. The conclusion is that, at this time, there is insufficient evidence to warrant the recommendation of provocative discography by chiropractors for chronic low back pain patients. There are safer, less costly, less invasive alternatives to discography that show promise and further investigation of the utility of these methods is recommended. This abstract is reproduced with the permission of the publisher; full text by subscription. Click on the above link for the journal record.

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